Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

20 CM RAIL

Facility

$4,345.00

Hospital Charge Code	270656619
Hospital Revenue Code	278
Min. Negotiated Rate	$651.75
Max. Negotiated Rate	$1,051.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$869.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,051.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$955.90
Rate for Payer: Qualcare PPO/HMO/WC	$651.75

2.0 CORTEX SCREW 16MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671212
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

2.0 CORTEX SCREW 16MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671212
Hospital Revenue Code	278
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$58.96
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.27
Rate for Payer: UnitedHealthcare Community & State	$3.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

2.0 CORTEX SCREW 40MM

Facility

$430.00

Service Code	HCPCS C1713
Hospital Charge Code	270687537
Hospital Revenue Code	278
Min. Negotiated Rate	$64.50
Max. Negotiated Rate	$104.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$86.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$94.60
Rate for Payer: Qualcare PPO/HMO/WC	$64.50

2.0 CORTEX SCREW 40MM

Facility

$430.00

Service Code	HCPCS C1713
Hospital Charge Code	270687537
Hospital Revenue Code	278
Min. Negotiated Rate	$10.36
Max. Negotiated Rate	$215.00
Rate for Payer: Aetna Commercial	$163.40
Rate for Payer: Aetna Medicare Advantage	$129.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$86.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.65
Rate for Payer: Cigna Commercial	$215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$94.60
Rate for Payer: Qualcare PPO/HMO/WC	$64.50
Rate for Payer: UnitedHealthcare Community & State	$10.36
Rate for Payer: Wellpoint Medicaid Managed Care	$11.39

2.0 DRILL BIT

Facility

$475.00

Hospital Charge Code	270656444
Hospital Revenue Code	272
Min. Negotiated Rate	$11.45
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.50
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$95.00
Rate for Payer: UnitedHealthcare Community & State	$11.45
Rate for Payer: Wellpoint Medicaid Managed Care	$12.59

2.0 DRILL BIT

Facility

$475.00

Hospital Charge Code	270656444
Hospital Revenue Code	272
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

2.0 DRILL BIT LONG

Facility

$1,259.60

Hospital Charge Code	270656855
Hospital Revenue Code	272
Min. Negotiated Rate	$30.36
Max. Negotiated Rate	$629.80
Rate for Payer: Aetna Commercial	$478.65
Rate for Payer: Aetna Medicare Advantage	$377.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.20
Rate for Payer: Cigna Commercial	$629.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$377.88
Rate for Payer: Oxford Commercial	$251.92
Rate for Payer: Qualcare PPO/HMO/WC	$188.94
Rate for Payer: UnitedHealthcare Commercial	$251.92
Rate for Payer: UnitedHealthcare Community & State	$30.36
Rate for Payer: Wellpoint Medicaid Managed Care	$33.38

2.0 DRILL BIT LONG

Facility

$1,259.60

Hospital Charge Code	270656855
Hospital Revenue Code	272
Min. Negotiated Rate	$188.94
Max. Negotiated Rate	$188.94
Rate for Payer: Qualcare PPO/HMO/WC	$188.94

2.0 DRILL BIT W QC 200 MM

Facility

$1,620.00

Hospital Charge Code	270688027
Hospital Revenue Code	272
Min. Negotiated Rate	$39.04
Max. Negotiated Rate	$810.00
Rate for Payer: Aetna Commercial	$615.60
Rate for Payer: Aetna Medicare Advantage	$486.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$413.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$413.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$413.10
Rate for Payer: Cigna Commercial	$810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$486.00
Rate for Payer: Oxford Commercial	$324.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.00
Rate for Payer: UnitedHealthcare Commercial	$324.00
Rate for Payer: UnitedHealthcare Community & State	$39.04
Rate for Payer: Wellpoint Medicaid Managed Care	$42.93

2.0 DRILL BIT W QC 200 MM

Facility

$1,620.00

Hospital Charge Code	270688027
Hospital Revenue Code	272
Min. Negotiated Rate	$243.00
Max. Negotiated Rate	$243.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.00

2.0 HAND PLATE

Facility

$2,307.45

Service Code	HCPCS C1713
Hospital Charge Code	270686112
Hospital Revenue Code	278
Min. Negotiated Rate	$346.12
Max. Negotiated Rate	$558.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$461.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$507.64
Rate for Payer: Qualcare PPO/HMO/WC	$346.12

2.0 HAND PLATE

Facility

$2,307.45

Service Code	HCPCS C1713
Hospital Charge Code	270685964
Hospital Revenue Code	278
Min. Negotiated Rate	$346.12
Max. Negotiated Rate	$558.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$461.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$507.64
Rate for Payer: Qualcare PPO/HMO/WC	$346.12

2.0 HAND PLATE

Facility

$2,307.45

Service Code	HCPCS C1713
Hospital Charge Code	270685964
Hospital Revenue Code	278
Min. Negotiated Rate	$55.61
Max. Negotiated Rate	$1,153.72
Rate for Payer: Aetna Commercial	$876.83
Rate for Payer: Aetna Medicare Advantage	$692.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$588.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$588.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$461.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$588.40
Rate for Payer: Cigna Commercial	$1,153.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$507.64
Rate for Payer: Qualcare PPO/HMO/WC	$346.12
Rate for Payer: UnitedHealthcare Community & State	$55.61
Rate for Payer: Wellpoint Medicaid Managed Care	$61.15

2.0 HAND PLATE

Facility

$2,307.45

Service Code	HCPCS C1713
Hospital Charge Code	270686112
Hospital Revenue Code	278
Min. Negotiated Rate	$55.61
Max. Negotiated Rate	$1,153.72
Rate for Payer: Aetna Commercial	$876.83
Rate for Payer: Aetna Medicare Advantage	$692.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$588.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$588.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$461.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$588.40
Rate for Payer: Cigna Commercial	$1,153.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$507.64
Rate for Payer: Qualcare PPO/HMO/WC	$346.12
Rate for Payer: UnitedHealthcare Community & State	$55.61
Rate for Payer: Wellpoint Medicaid Managed Care	$61.15

2.0 MM 10 SHORT DIGIFUSE

Facility

$10,220.45

Service Code	HCPCS C1713
Hospital Charge Code	270687127
Hospital Revenue Code	278
Min. Negotiated Rate	$246.31
Max. Negotiated Rate	$5,110.23
Rate for Payer: Aetna Commercial	$3,883.77
Rate for Payer: Aetna Medicare Advantage	$3,066.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,606.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,606.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,044.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,606.21
Rate for Payer: Cigna Commercial	$5,110.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,473.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,248.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,533.07
Rate for Payer: UnitedHealthcare Community & State	$246.31
Rate for Payer: Wellpoint Medicaid Managed Care	$270.84

2.0 MM 10 SHORT DIGIFUSE

Facility

$10,220.45

Service Code	HCPCS C1713
Hospital Charge Code	270687127
Hospital Revenue Code	278
Min. Negotiated Rate	$1,533.07
Max. Negotiated Rate	$2,473.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,044.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,473.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,248.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,533.07

2.0MM ASNIS MICRO CANN SCREW 1

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270688924
Hospital Revenue Code	278
Min. Negotiated Rate	$34.27
Max. Negotiated Rate	$710.90
Rate for Payer: Aetna Commercial	$540.28
Rate for Payer: Aetna Medicare Advantage	$426.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.56
Rate for Payer: Cigna Commercial	$710.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$312.80
Rate for Payer: Qualcare PPO/HMO/WC	$213.27
Rate for Payer: UnitedHealthcare Community & State	$34.27
Rate for Payer: Wellpoint Medicaid Managed Care	$37.68

2.0MM ASNIS MICRO CANN SCREW 1

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270688924
Hospital Revenue Code	278
Min. Negotiated Rate	$213.27
Max. Negotiated Rate	$344.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$312.80
Rate for Payer: Qualcare PPO/HMO/WC	$213.27

2.0MM BALL NOSE GUIDE WIRE

Facility

$950.00

Service Code	HCPCS C1769
Hospital Charge Code	270685088
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

2.0MM BALL NOSE GUIDE WIRE

Facility

$950.00

Service Code	HCPCS C1769
Hospital Charge Code	270685088
Hospital Revenue Code	278
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

2.0 MM CANN DRILL BITQC/ 145NN

Facility

$2,028.00

Hospital Charge Code	270688652
Hospital Revenue Code	272
Min. Negotiated Rate	$304.20
Max. Negotiated Rate	$304.20
Rate for Payer: Qualcare PPO/HMO/WC	$304.20

2.0 MM CANN DRILL BITQC/ 145NN

Facility

$2,028.00

Hospital Charge Code	270688652
Hospital Revenue Code	272
Min. Negotiated Rate	$48.87
Max. Negotiated Rate	$1,014.00
Rate for Payer: Aetna Commercial	$770.64
Rate for Payer: Aetna Medicare Advantage	$608.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$517.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$517.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$517.14
Rate for Payer: Cigna Commercial	$1,014.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$608.40
Rate for Payer: Oxford Commercial	$405.60
Rate for Payer: Qualcare PPO/HMO/WC	$304.20
Rate for Payer: UnitedHealthcare Commercial	$405.60
Rate for Payer: UnitedHealthcare Community & State	$48.87
Rate for Payer: Wellpoint Medicaid Managed Care	$53.74

2.0MM CANN DRILL BIT/QC 150MM

Facility

$1,839.85

Hospital Charge Code	270622783
Hospital Revenue Code	272
Min. Negotiated Rate	$275.98
Max. Negotiated Rate	$275.98
Rate for Payer: Qualcare PPO/HMO/WC	$275.98

2.0MM CANN DRILL BIT/QC 150MM

Facility

$1,839.85

Hospital Charge Code	270622783
Hospital Revenue Code	272
Min. Negotiated Rate	$44.34
Max. Negotiated Rate	$919.92
Rate for Payer: Aetna Commercial	$699.14
Rate for Payer: Aetna Medicare Advantage	$551.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$469.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$469.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$469.16
Rate for Payer: Cigna Commercial	$919.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$551.96
Rate for Payer: Oxford Commercial	$367.97
Rate for Payer: Qualcare PPO/HMO/WC	$275.98
Rate for Payer: UnitedHealthcare Commercial	$367.97
Rate for Payer: UnitedHealthcare Community & State	$44.34
Rate for Payer: Wellpoint Medicaid Managed Care	$48.76

Know your out-of-pocket cost for care.

All Charges